Program Manager - Rev Mgmt Administration (Remote - US)

Thank you for considering a career at Bon Secours Mercy Health!

Primary Function/General Purpose of Position

The Program Manager of Revenue Management - Administration is responsible for supporting the production of policies, procedures, and job aids associated for insourced revenue cycle and outsourced revenue cycle touchpoints. This includes coordination with subject matter experts on design of workflows, training, and socialization of processes and tools that assist relevant stakeholders in adoption and execution. The Program Manager of Revenue Management - Administration also directly supports activities related to Compliance and Policy Governance in the hospital, physician, and ancillary billing and collection activities. This position forges working relationships and partnerships with operations leaders, outsource vendor staff, compliance, and Epic support while working in a team sought out for their expertise and skills with revenue cycle management. This position manages relationships with all user communities and provide proper support, education, and customer service to leaders and analysts outside of Revenue Management team to assure effective process design and governance to optimize revenue, mitigate adverse impacts from changes, and effectively communicate with and solicit feedback from all potentially impacted parties.

Essential Job Functions

• Coordinates with internal hospital, physician, and ancillary revenue services leaders to:
  
  • Performs gap analysis of existing workflows for identified issues
  • Helps identify and propose solutions with existing Epic and vendor system and service designs
  • Pursues appropriate approvals for implementation
  • Designs training materials specific to changes in process, policy, and procedure
  • Assists in communication plan and roll-out of materials to train and implement with affected staff
• Builds and maintains a uniform governance structure for changes to policies and procedures impacting internal and external (outsourced) stakeholders within core systems, obtaining appropriate feedback and sign-off from all involved parties
• Supports project management of legal and compliance-driven revenue cycle audits and assists in workflow design to support action plans
• Assists in triage, appropriate routing, and escalation of billing-related patient complaints across stakeholders from outsourced revenue cycle vendor, ancillary services (e.g., outreach lab, radiology reads, pro-fees) not billed through BSMH, and marketing support for social media outreach
• Works within the markets as necessary on the standardization of processes, reporting and approaches to payer contracting, payer relationships, network participation and other strategic project from time to time.
• Leads and participates in short- and long-term projects, as needed
• Maintains knowledge and understanding of the current trends and developments in healthcare reimbursement and development of specific payer strategies, including benchmark research for new business opportunities, regulations, standards, and directives regarding governmental or third party agencies (Medicare & Medicaid) and/or third-party payers
• Adheres to the standards and policies of the Corporate Responsibility Program, including the duty to comply with applicable laws and regulations, and reporting to designated Manager (or employer hotline) any suspected unethical, fraudulent, or unlawful acts or practices

This document is not an exhaustive list of all responsibilities, skills, duties, requirements, or working conditions associated with the job. Employees may be required to perform other job-related duties as required by their supervisor, subject to reasonable accommodation.

Licensing/Certification

Epic Credentialed Trainer - Resolute HB/PB/SBO or Grand Central (ADT/Cadence/Prelude) (required)

HFMA CRCR (preferred)

Epic Principal Trainer - Resolute HB/PB/SBO or Grand Central (ADT/Cadence/Prelude) (preferred)

HFMA - CHFP (preferred)

Education

High School Diploma or GED (required)

Bachelor's Degree in Business Administration, Healthcare Administration, Finance, Accounting, or related field (preferred)

Work Experience

5 years of training and process improvement experience in the hospital, physician revenue cycle operations, or health system performance space(s) (required)

Training

EPIC Electronic Health Record (required)

Language

None

Patient Population

Not applicable to this position

Working Conditions

Periods of high stress and fluctuating workloads may occur.

Long-distance or air travel as needed- not to exceed 10% travel.

General office environment.

May have periods of constant interruptions.

Required to car travel to off-site locations, occasionally in adverse weather conditions.

Physical Requirements

Physical Demands

Frequency 0% 1-33% 34-66% 67-100%

Lifting/ Carrying (0-50 lbs.) X

Lifting/ Carrying (50-100 lbs.) X

Push/ Pull (0-50 lbs.) X

Push/ Pull (50-100 lbs.) X

Stoop, Kneel X

Crawling X

Climbing X

Balance X

Bending X

Work Position

Frequency 0% 1-33% 34-66% 67-100%

Sitting X

Walking X

Standing X

Additional Physical Requirements/Hazards

Physical Requirements

Manual dexterity (eye/hand coordination)

Hear alarms/telephone/audio recordings

Repetitive arm/hand movements

Finger Dexterity

Color Vision

Acuity - far

Acuity - near

Hazards

Not applicable to this position

Skills

Revenue Management

Revenue Cycle

Workflow Design

Compliance

EPIC

Medical Billing & Collection

Process Design

Training Materials

Communication Planning

Analyzing data or information

Scheduling

Process documentation

Legal and contractual compliance

Attention to detail

Communication

Organization

Presentations

Critical thinking

Teamwork

Relationship building with internal and external partners

Cooperation

Collaboration across all levels of staff

Bon Secours Mercy Health is an equal opportunity employer.

Many of our opportunities reward* your hard work with:

• Comprehensive, affordable medical, dental and vision plans
• Prescription drug coverage
• Flexible spending accounts
• Life insurance w/AD&D
• Employer contributions to retirement savings plan when eligible
• Paid time off
• Educational Assistance
• And much more

*Benefits offerings vary according to employment status

Scheduled Weekly Hours:
40

Work Shift:
Days (United States of America)

Department:
SS Revenue Management - Revenue Management

All applicants will receive consideration for employment without regard to race, color, national origin, religion, sex, sexual orientation, gender identity, age, genetic information, or protected veteran status, and will not be discriminated against on the basis of disability. If you'd like to view a copy of the affirmative action plan or policy statement for Mercy Health - Youngstown, Ohio or Bon Secours - Franklin, Virginia; Petersburg, Virginia; and Emporia, Virginia, which are Affirmative Action and Equal Opportunity Employers, please email [email protected]. If you are an individual with a disability and would like to request a reasonable accommodation as part of the employment selection process, please contact The Talent Acquisition Team at [email protected].